慢性全闭塞经皮冠状动脉介入治疗的逆行入路-技术和结果。

IF 5.6 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Progress in cardiovascular diseases Pub Date : 2025-01-01 DOI:10.1016/j.pcad.2024.12.002

Salman S. Allana , Keerthi Gondi , Amit Goyal , Saraschandra Vallabhajosyula

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引用次数: 0

摘要

慢性全闭塞（CTO）经皮冠状动脉介入治疗（PCI）逆行入路显著提高了CTO PCI的成功率。通常在复杂的CTO病变中进行，其中顺行入路不可行或失败。在本文中，我们讨论了行逆行CTO PCI的步骤及其并发症和成功率。考虑到逆行入路在经验丰富的操作人员的操作下具有中高的成功率和比单纯逆行手术更高的并发症发生率，优化逆行CTO PCI的安全性至关重要。

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Retrograde approach to chronic total occlusion percutaneous coronary interventions- Technique and outcomes

The retrograde approach to chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has significantly contributed to the success rates of CTO PCI. It is usually performed in complex CTO lesions, in which the antegrade approach is not feasible or fails. In this article we discuss the steps to perform retrograde CTO PCI and its complications and success rates. Considering the moderate to high success rates of the retrograde approach in the hands of experienced operators and higher complication rates than antegrade only procedures, optimizing the safety of retrograde CTO PCI is of paramount importance.

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来源期刊

Progress in cardiovascular diseases 医学-心血管系统

CiteScore

10.90

自引率

6.60%

发文量

审稿时长

7 days

期刊介绍： Progress in Cardiovascular Diseases provides comprehensive coverage of a single topic related to heart and circulatory disorders in each issue. Some issues include special articles, definitive reviews that capture the state of the art in the management of particular clinical problems in cardiology.